I have long suspected that I have some sort of screw up involving the cholinergic anti-inflammatory pathway (CAP) after having abnormal autonomic function test results and the concluding diagnosis that I have idiopathic Autonomic Neuropathy along with the severe GI dysmotility of gastroparesis so I gave this a go and I have to say that there really is something in this.
I don't have ME/CFS but I would suggest this is well worth trying for anyone who has some degree of dysautonomia with decreased vagus nerve activity (and that's probably everyone with ME/CFS by the sounds of things) as well as suffering from chronic abdominal pain that is not responsive to other meds.
I have had to modify the formula here with the inclusion of adding apple cider vinegar (ACV) to the sodium bicarbonate first and waiting for the effervescing to stop before diluting with water then drinking, which I'm doing 3 times a day, 1 hour before food as the efficacy of the sodium bicarbonate as a stimulant of the CAP is said to have only about a 4 hour life. (Started out with 1/8th tsp sodium bicarbonate to 2 tsp ACV, now on 1/4 tsp of sodium bicarbonate to 4 tsp ACV in 150ml water)
I am very intolerant of many foods, supplements and meds and haven't tolerate either ACV or sodium bicarbonate alone when diluted in water in the past but it is no problem for me used as per the method above.
I gave sodium bicarbonate a try by itself again when I saw this thread but couldn't keep it down. I was actually
looking for a remedy for gastric reflux at the time, in the hope that this would help with chronic abdominal pain too, and the addition of ACV to sodium bicarbonate is suggested for gastric reflux in some articles.
I did also stop taking long term ranitidine on the same day as starting this protocol and the gastric reflux has resolved, along with a significant reduction in abdominal pain, so it would be reasonable to suggest that the issue was that I just didn't have enough stomach acid to start with but it's interesting to note that H2 acid blockers (like ranitidine) have a strong anti-inflammatory affect too and the last time I stopped taking this med, I ended up in the ER with much worsened abdominal pain.
Well, not on this occasion and as of right now, I'm also not getting abdominal pain everytime I urinate or have a bowel movement like I was beforehand, daily diarrhea is much reduced, urine output has increased back to what it used to be and I've lost most of the abdominal and pelvic bloated feelings, Psoriasis-like skin lesions on my legs are shrinking and no longer scaly and flaking, skin cuts and abrasions are not infecting like they have been, sleep is way less disturbed so I have more energy for the day
The only real disappointment so far is that food sensitivities haven't really improved any at this point after doing this for 4 weeks now but I'm hopeful that this will change given more time as this is something that has slowly worsened over the course of close to 20 years now.
Whatever problem it addresses, it works for me!